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静脉注射万古霉素在犬体内的单剂量和多剂量药代动力学

Single- and multiple-dose pharmacokinetics of intravenously administered vancomycin in dogs.

作者信息

Zaghlol H A, Brown S A

机构信息

Department of Veterinary Physiology and Pharmacology, College of Veterinary Medicine, Texas A&M University, College Station 77843.

出版信息

Am J Vet Res. 1988 Sep;49(9):1637-40.

PMID:3223677
Abstract

Vancomycin was administered IV to healthy adult female dogs at a dosage of 15 mg/kg of body weight every 12 hours for 10 days. Pharmacokinetic values were determined after the first and last doses. The disposition of vancomycin was not altered by multiple dosing, and little accumulation attributable to multiple dosing was observed. Serum vancomycin concentration after the first and last dose were described, using a 2-compartment open model with first-order elimination. The distribution and elimination half-lives after the single dose were 15.4 +/- 2.7 minutes and 137 +/- 21.8 minutes (geometric mean +/- pseudo-SD), respectively; whereas the distribution and elimination half-lives after the last dose were 11.3 +/- 2.61 minutes and 104 +/- 11.2 minutes, respectively. The mean (+/- SD) area-derived volume of distribution was 396 +/- 156 ml/kg and 382 +/- 160 ml/kg after the first and last dose, respectively. Serum vancomycin clearance was 2.13 +/- 0.35 ml/min/kg and 2.49 +/- 0.79 ml/min/kg after the first and last dose, respectively, and 25 to 49% of the total dose of vancomycin was recovered in the urine in the first 24 hours after the single dose administered IV. Mean serum vancomycin concentration reached 101.8 +/- 30.6 micrograms/ml and 99.7 +/- 28.0 micrograms/ml at 5 minutes after a single dose and the last of the multiple doses, respectively, and decreased to 0.94 +/- 0.58 microgram/ml and 1.51 +/- 1.44 micrograms/ml, respectively, at 12 hours after administration. The side effects that accompany vancomycin treatment in human beings were not observed in the dogs; all remained healthy through the end of the experiment.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

对健康成年雌性犬静脉注射万古霉素,剂量为每12小时15毫克/千克体重,持续10天。在首次给药和末次给药后测定药代动力学值。多次给药未改变万古霉素的处置情况,且未观察到多次给药导致的明显蓄积。采用具有一级消除的二室开放模型描述首次给药和末次给药后的血清万古霉素浓度。单次给药后的分布半衰期和消除半衰期分别为15.4±2.7分钟和137±21.8分钟(几何均值±伪标准差);而末次给药后的分布半衰期和消除半衰期分别为11.3±2.61分钟和104±11.2分钟。首次给药和末次给药后的平均(±标准差)面积衍生分布容积分别为396±156毫升/千克和382±160毫升/千克。首次给药和末次给药后的血清万古霉素清除率分别为2.13±0.35毫升/分钟/千克和2.49±0.79毫升/分钟/千克,静脉注射单次给药后的头24小时内,尿中回收的万古霉素总量为25%至49%。单次给药和多次给药中的末次给药后5分钟时,平均血清万古霉素浓度分别达到101.8±30.6微克/毫升和9九十九点七±28.0微克/毫升,给药后12小时分别降至0.94±0.58微克/毫升和1.51±1.44微克/毫升。犬未出现人类万古霉素治疗时伴随的副作用;实验结束时所有犬均保持健康。(摘要截短至250字)

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